Kidney stone differential diagnosis: Difference between revisions

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[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].


==Differentiating X from other Diseases==
==Differentiating Nephrolithiasis from other Diseases==
*[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
Nephrolithiasis should be differentiated from other conditions presenting with acute flank or upper abdominal pain, hematuriua, nausea and vomiting. The differentials include the following:
*[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].


*As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
{| class="wikitable"
 
! rowspan="2" |Category
===Preferred Table===
! rowspan="2" |Disease
{|
! rowspan="2" |History
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! colspan="9" |Signs and Symptoms
! rowspan="2" |Diseases
! colspan="8" |Laboratory abnormalities
! colspan="4" |History and Symptoms
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! colspan="4" |Physical Examination
|Nausea/vomiting
! colspan="4" |Laboratory Findings
|Hematuria
! rowspan="2" |Other Findings
|Location of pain
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|Fever
!Finding
|Tachycardia
1
|Hypotension
!Finding 2
|Anorexia
!Finding 3
|Constipation
!Finding
|Rebound tenderness
4
|Urinalysis
!Physical Finding 1
|BUN
!Physical Finding 2
|Creatinine
!Physical Finding 3
|Stone analysis
!Physical Finding 4
|Urine Beta- hCG
!Lab Test 1
|Liver Function tests
!Lab Test 2
|Serum Amylase/Lipase
!Lab Test 3
|Abdominal CT scan
!Lab Test 4
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| rowspan="8" |Renal Pathology
|Nephrolithiasis
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|Pyelonephritis
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|Renal infarct
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|Uretral stricture
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| rowspan="3" |Gynecological Pathology
|Pelvic inflammatory disease
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 1
|Ovarian torsion
| style="background: #F5F5F5; padding: 5px;" |
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| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 2
|Ectopic pregnancy
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
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| style="background: #F5F5F5; padding: 5px;" | -
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 3
| rowspan="2" |Prostate Pathology
| style="background: #F5F5F5; padding: 5px;" |
|Prostatitis
| style="background: #F5F5F5; padding: 5px;" |↓
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 4
|Prostatic cancer
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 5
| rowspan="2" |Testicular Pathology
| style="background: #F5F5F5; padding: 5px;" |
|Testicular torsion
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===Use if the above table can not be made===
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{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align="center"
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Differential Diagnosis}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Similar Features}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}}
|-
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Differential 1
|Orchitis
| style="padding: 5px 5px; background: #F5F5F5;" |
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
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| style="padding: 5px 5px; background: #F5F5F5;" |
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Differential 2
| rowspan="4" |Abdominal Pathology
| style="padding: 5px 5px; background: #F5F5F5;" |
|Cholecystitis
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Differential 3
|Appendicitis
| style="padding: 5px 5px; background: #F5F5F5;" |
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Differential 4
|Diverticulitis
| style="padding: 5px 5px; background: #F5F5F5;" |
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
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| style="padding: 5px 5px; background: #F5F5F5;" |
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Differential 5
|Abdominal aortic aneurysm
| style="padding: 5px 5px; background: #F5F5F5;" |
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
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* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 01:24, 14 May 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].

OR

[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].

Differentiating Nephrolithiasis from other Diseases

Nephrolithiasis should be differentiated from other conditions presenting with acute flank or upper abdominal pain, hematuriua, nausea and vomiting. The differentials include the following:

Category Disease History Signs and Symptoms Laboratory abnormalities
Nausea/vomiting Hematuria Location of pain Fever Tachycardia Hypotension Anorexia Constipation Rebound tenderness Urinalysis BUN Creatinine Stone analysis Urine Beta- hCG Liver Function tests Serum Amylase/Lipase Abdominal CT scan
Renal Pathology Nephrolithiasis
Pyelonephritis
Renal infarct
Renal papillary necrosis
Renal cell carcinoma
Uretral stricture
Gynecological Pathology Pelvic inflammatory disease
Ovarian torsion
Ectopic pregnancy
Prostate Pathology Prostatitis
Prostatic cancer
Testicular Pathology Testicular torsion
Orchitis
Abdominal Pathology Cholecystitis
Appendicitis
Diverticulitis
Abdominal aortic aneurysm

References

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